Critical Care Nursing- A Holistic Approach 11th Edition Morton Fontaine Test Bank Chapter 1 Critical Care Nursing Practice: Promoting Excellence-Caring,Collaboration Evidence 1. A nurse is the only one in the ICU who has not achieved certification in critical care nursing. She often will ask her fe...
Test Bank Critical Care Nursing A Hoslistic Approach 11 Edition Morton Fontaine
Test Bank Critical Care Nursing A Hoslistic Approach 11
Edition Morton Fontaine
, Test Bank Critical Care Nursing A Hoslistic Approach 11 Edition Morton Fontaine
Topic1 Critical Care Nursing Practice: Promoting Excellence-Caring,Collaboration
Evidence
Multiple Choice
Exam Question A nurse is the only one in the ICU who has not achieved
certification in critical care nursing. She often will ask her fellow nurses what to do
in caring for a patient because she doubts the accuracy of her knowledge and her
intuition. She loves her work but wishes she could do it with a greater level of
competence. What is the most important effect that obtaining certification would
likely have on the nurses practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
Exam Question A hospital interviews two different candidates for a position in the
ICU. Both candidates have around 10 years of experience working in the ICU. Both
have excellent interpersonal skills and highly positive references. One, however, has
certification in critical care nursing. Which of the following is the most compelling
and accurate reason for the hospital to hire the candidate with certification?
A) The certified nurse will have more knowledge and expertise.
B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward patients.
D) The certified nurse will work more collaboratively with other nurses.
Exam Question A nurse is caring for an elderly man recently admitted to the ICU
following a stroke. She assesses his cognitive function using a new cognitive assessment
test she learned about in a recent article in a nursing journal. She then brings a cup of
water and a straw to the patient because she observes that his lips are dry. Later, she
has the patient sit in a wheelchair and takes him to have some blood tests performed.
He objects at first, saying that he can walk on his own, but the nurse explains that it is
hospital policy to use the wheelchair. That evening, she recognizes signs of an imminent
stroke in the patient and immediately pages the physician. Which action taken by the
nurse is the best example of evidence-based practice?
A) Giving the patient a cup of water
B) Transferring the patient in a wheelchair
C) Using the cognitive assessment test
D) Recognizing signs of imminent stroke and paging the physician
, Test Bank Critical Care Nursing A Hoslistic Approach 11 Edition Morton Fontaine
Exam Question A nurse is on a committee that is trying to reduce the occurrence of
hospital-acquired infections in the ICU. Her role is to conduct research to find
which interventions have been shown to be most effective in reducing these
infections. She consults many different sources and finds conflicting information.
Which of the following sources should she consider the most authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of
Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
Exam Question A nurse who has been recently hired to manage the nursing staff of
the ICU is concerned at the lack of evidence-based practice she sees among the
staff. Which of the following would be the best step for her to take to promote
incorporating evidence into clinical practice?
A) Only hire nurses certified in critical care nursing.
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in
Google or Yahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to
research on it.
Exam Question A physician visits a patient in the ICU while the nurse is out. The
patient complains that the pain medication is not effective and that he would
like to receive an increased dose. The physician has the nurse paged and
consults with him in the hallway regarding the patients request for stronger
pain medication. The nurse explains that patient was started on a morphine
drip only 20 minutes ago and that the drug has not had time to take effect yet.
The physician agrees and tells the patient to give it just a bit more time. Which
component of a healthy work environment is most evident in this scenario?
A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
Exam Question A nurse in the ICU is responding to a patient who has just gone
into cardiac arrest. A moment later, the nurse is notified that another patient
has just gone into anaphylactic shock due to a drug allergy. She is conflicted
as to what to do, as she is the only nurse available at the moment to tend to
both patients. Which component of a healthy work environment is lacking in
this scenario?
A) Effective decision making
, Test Bank Critical Care Nursing A Hoslistic Approach 11 Edition Morton Fontaine
B) Appropriate staffing
C) Authentic leadership
D) Meaningful recognition
Exam Question An ICU nurse has provided excellent care for a 6-year-old girl who
had been admitted to the ICU for a head injury. The nurse was attentive not only
to the needs of the patient but also went out of her way to care for the needs of
the girls family. According to research, which of the following forms of
recognition would the nurse value the most?
A) A card from the girls family
B) A plaque from the ICU physicians naming her as Nurse of the Year
C) A letter of commendation from the hospitals administration
D) A bouquet of flowers from her supervisor
Exam Question A patient in the ICU has recently been diagnosed with diabetes
mellitus. Before being discharged, this patient will require detailed instructions
on how to manage her diet, how to self-inject insulin, and how to handle future
diabetic emergencies. Which nurse competency is most needed in this situation?
A) Clinical judgment
B) Advocacy and moral agency
C) Caring practices
D) Facilitation of learning
Exam Question An elderly patient is admitted to the ICU with stage IV lung cancer,
diabetes mellitus, and congestive heart failure. The health care team assembled to
care for her is large and diverse, including an oncologist, a pulmonologist, an
endocrinologist, a cardiologist, and others. The patient is not expected to survive
more than a few weeks, and her husband is overwhelmed with stress and grief.
Which nurse competency or competencies are most needed in this situation?
Select all that apply.
A) Clinical judgment
B) Caring practices
C) Collaboration
D) Response to diversity
Exam Question An Ethiopian man with AIDS has recently been admitted to the
ICU with a case of pneumonia. The man is new to the U.S. and has no health
insurance. He would likely be eligible for the states Medicaid coverage, but does
not understand how to access this coverage. Which competency or competencies
are most needed in this situation? Select all that apply.
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